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Individual

CARRIE DEE DINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 471-1866
Mailing address
62-150 EMERSON RD, HALEIWA, HI 96712-1475
(808) 990-5940

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
15825
HI

Other

Enumeration date
09/18/2014
Last updated
09/18/2014
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